Microsurgery for Brescia-Cimino Fistula Construction in Pediatric Patients

Abstract
Many previous series reporting the construction of Brescia-Cimino fistulae in children describe a high rate of immediate and late patency failure. Using microsurgery, Brescia-Cimino fistulae were constructed in 23 children, 10 weighing < 20 kg and 13 weighing more than 20 kg. An immediate patency rate of 100% was achieved in both weight groups with a late patency rate of 90-100%, in those under and over 20 kg, respectively. The use of microsurgery is recommended for all such angioaccess procedures.
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